Hospital Costs > In Massachusetts > New England Baptist Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 44 | 22 / 2 | $23.875,50 | 29 / 2 | $14.081,00 | 396 / 2 | $12.540,20 | 393 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 78 | 18 / 2 | $17.497,20 | 63 / 6 | $7.850,37 | 512 / 1 | $6.628,63 | 511 / 4 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 45 | 20 / 1 | $34.858,50 | 6 / 1 | $26.003,00 | 164 / 1 | $21.295,00 | 163 / 1 |
| Cervical Spinal Fusion W Cc | 15 | 38 / 6 | $38.922,70 | 35 / 2 | $21.328,90 | 260 / 1 | $19.072,20 | 259 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 41 | 63 / 2 | $31.629,00 | 75 / 5 | $16.507,10 | 657 / 1 | $14.275,70 | 654 / 3 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 11 | 36 / 3 | $61.905,50 | 4 / 1 | $45.006,30 | 90 / 1 | $43.833,00 | 90 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 31 | $32.209,00 | 305 / 37 | $15.014,20 | 1332 / 24 | $12.118,20 | 1314 / 5 |
| Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 12 | 6 / 1 | $29.819,20 | 5 / 1 | $12.871,50 | 14 / 1 | $11.785,20 | 14 / 1 |
| Knee Procedures W/O Pdx Of Infection W/O Cc/Mcc | 18 | 5 / 1 | $19.417,60 | 4 / 1 | $9.876,44 | 25 / 1 | $7.573,61 | 25 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 103 | 8 / 1 | $26.592,40 | 19 / 1 | $16.061,30 | 605 / 3 | $13.916,40 | 601 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 29 | 36 / 5 | $44.205,30 | 72 / 12 | $23.840,40 | 609 / 10 | $20.789,30 | 606 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 2039 | 2 / 1 | $24.442,30 | 69 / 8 | $15.721,90 | 1900 / 17 | $13.234,90 | 1858 / 7 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 30 | 39 / 2 | $31.999,80 | 14 / 1 | $18.448,40 | 346 / 2 | $16.829,20 | 346 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 98 | 9 / 1 | $41.769,90 | 33 / 2 | $24.906,00 | 520 / 2 | $23.549,70 | 518 / 3 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 141 | 2 / 1 | $35.091,20 | 24 / 3 | $20.012,60 | 368 / 1 | $17.384,80 | 367 / 1 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 19 | 21 / 1 | $91.447,90 | 12 / 1 | $51.495,80 | 49 / 1 | $48.576,50 | 49 / 1 |
| Spinal Fusion Except Cervical W Mcc | 12 | 13 / 1 | $85.454,80 | 7 / 1 | $47.225,20 | 52 / 1 | $45.892,10 | 52 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 254 | 13 / 1 | $45.546,40 | 78 / 4 | $29.858,40 | 988 / 4 | $26.333,20 | 983 / 3 |
| Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc | 17 | 26 / 2 | $43.609,00 | 10 / 3 | $20.607,50 | 86 / 1 | $19.641,80 | 86 / 1 | Total 19 procedures | 3.024 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.